Providing Specialty Care for the Poor and Underserved at Student-Run Free Clinics in the San Francisco Bay Area

Liu, Max Bolun; Xiong, Grace; Boggiano, Victoria L.; Ye, Patrick Peiyong; Lin, Steven

doi:10.1353/hpu.2017.0113

Cited by 11 publications

(20 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 20 , 28 , 58 , 61 , 81 A few individual health care student-run initiatives provided a range of primary care, specialty services, and diagnostics that sometimes also provided a consistent, comprehensive, and ongoing source of care for clients. 68 , 74 , 82 - 84 …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Nagel

Naccarato

Philip

et al. 2022

J Prim Care Community Health

View full text Add to dashboard Cite

Background: Student-run health initiatives in the community setting have been utilized to provide practical experience for undergraduate students to develop professional competencies, gain exposure to diverse populations, and to engage in activities of social accountability. There is much literature on student-run health initiatives; however, there is no consensus on a definition of this concept or a comprehensive synthesis of the literature that describes student-run health initiatives offered by students in pre-licensure healthcare education programs. Purpose: To provide a concept analysis of, and propose a definition for, student-run health initiatives that provide community-based services for students during pre-licensure health discipline education. Methods: A systematic literature search and review process was used to identify and synthesize peer-reviewed articles from 7 academic databases covering a range of pre-licensure health disciplines and education. Walker and Avant’s framework for concept analysis was used to guide exploration of attributes, antecedents and consequences of student-run initiatives, and to inform development of a definition for this concept. Results: The review yielded 222 articles for data extraction and represented 17 distinct pre-licensure health disciplines, 18 health-related disciplines, and a range of other baccalaureate and graduate programs. Our analysis revealed 16 definitions, 5 attributes, 6 antecedents, and consequences identified for student-run health initiatives. Attributes were Provision of Service, Service is Free, Target Clientele, Volunteerism, and Student Governance. Antecedents included Purpose/Rationale, Affiliation with Academic Unit, Location and Partnerships, Funding and Resources, Professional Oversight, and Preparation for Student Role. Consequences were improved access to services and outcomes for clients; competency development, personal gains and interprofessional learning for students; and positive outcomes for broader systems, such as decrease of service utilization and cost/benefit. Conclusions: There was no clear conceptual definition for student-run health initiatives, but many defining characteristics and well-described exemplars in the literature. Given the variations in purpose and scope of these initiatives, particularly to distinguish degree of students’ roles in operations and the involvement of academic institutions, we propose 3 distinct conceptual definitions: student-run, student-led, and student-infused health initiatives.

show abstract

Section: Resultsmentioning

confidence: 99%

“… 42 , 45 , 61 , 68 , 78 , 98 , 99 There were also numerous circumstances where practitioners and other staff complement (eg, social workers), including faculty members, were employed by academic institutions or affiliated agencies and supported student-run initiatives. 5 , 20 , 30 , 43 , 56 , 57 , 74 , 78 , 83 , 99 …”

Section: Resultsmentioning

confidence: 99%

Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Nagel

Naccarato

Philip

et al. 2022

J Prim Care Community Health

View full text Add to dashboard Cite

show abstract

“…Since the expansion of Medicaid in Pennsylvania, this aim has been refined to helping patients obtain insurance and connecting them to long-term primary care, while addressing acute medical needs, and offering social and emotional support. [21][22][23][24] JeffHOPE clinics provide valuable services that may decrease ER utilization for non-emergent medical concerns. Perhaps more importantly, they support handoff of patients to long-term sources of primary care and social services, and provide support for improving their health behaviors.…”

Section: Discussionmentioning

confidence: 99%

Filling Gaps and Setting Boundaries: Examining Utilization of Health and Social services at JeffHOPE Student Run Clinics

Wang

Guth

Tate

et al. 2021

J Prim Care Community Health

View full text Add to dashboard Cite

The objective of this study was to describe the frequency that healthcare and social support services offered by JeffHOPE, a student run clinic for people experiencing homelessness in Philadelphia, PA, were utilized by patients. This study also aimed to investigate where patients would seek medical care on a given day had they not been able to access JeffHOPE. This study was conducted via mixed methods consisting of retrospective chart review of patient encounter records and a patient survey conducted weekly throughout 2019, both at a single clinic site, and retrospective chart review of January through March 2020 records at 5 clinic sites. This study found that the frequency of services utilized varied between clinic sites, and that Pharmacy and Procedure committees were the most utilized when examining the combined clinic data. Additionally, the survey found that JeffHOPE provided medical care to those that otherwise would not have sought it. Clinics also served as an alternative to accessing care for non-emergent issues in an Emergency Department (ED) for some patients, but for others it replaced seeing their primary care provider (PCP). This study confirmed that the services offered by JeffHOPE are well-utilized by patients experiencing homelessness in Philadelphia. It also revealed that while the organization’s medical services filled care gaps and potentially decreased unnecessary ED visits, they were also sometimes accessed in lieu of a PCP visit. A focused effort on linkage to formal primary care services for all JeffHOPE patients and expanding collection of more granular data to all clinics represent important future endeavors for this student run organization.

show abstract

“…Many SRFCs are able to integrate in-house specialty care through rotating specialty-specific clinics. 43 This approach has been shown to work for a variety of disciplines, including otolaryngology, ophthalmology, 44 behavioral and mental health, dermatology, hepatology, musculoskeletal medicine, general surgery care, and women’s health. 26,43,45,46 However, the ability of a given SRFC to provide specialty services depends on the extent to which that clinic is integrated into an umbrella academic institution.…”

Section: Srfcs As Medical Care Providersmentioning

confidence: 99%

Student-Run Free Clinics Stand at a Critical Junction Between Undergraduate Medical Education, Clinical Care, and Advocacy

et al. 2022

View full text Add to dashboard Cite

Student-run free clinics (SRFCs) act as primary care providers that bring health care to populations in need and are an important source of undergraduate medical education (UME), guiding trainees through the art of history taking and physical examination. However, they are also social justice and advocacy initiatives-addressing disparity in access to care and educating medical trainees with firsthand exposure to socioeconomic determinants of health as well as language and medical illiteracy barriers. Here, the authors review academic literature examining the impact of SRFCs in their 3 roles: as medical care providers, as components of medical education, and as advocacy organizations. Based on the evidence of that literature and decades of direct SRFC leadership experience, the authors make the case that SRFCs are an undersupported means by which UME institutions contribute to correcting health care disparities and to serving social justice reform. SRFCs as Medical Care ProvidersSRFCs primarily serve patients of low socioeconomic status, targeting communities where up to 45% of the

show abstract

Providing Specialty Care for the Poor and Underserved at Student-Run Free Clinics in the San Francisco Bay Area

Cited by 11 publications

References 9 publications

Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Filling Gaps and Setting Boundaries: Examining Utilization of Health and Social services at JeffHOPE Student Run Clinics

Student-Run Free Clinics Stand at a Critical Junction Between Undergraduate Medical Education, Clinical Care, and Advocacy

Contact Info

Product

Resources

About